Online Employment Application

*Please note:
*This application is for temporary summer employment only.
*Please submit using Internet Explorer launched from a PC platform – individuals using Safari and Firefox web browsers as well as Mac systems may experience difficulties during application submission.
*Do not use browser back or forward buttons while filling out this application.
*In order to apply for a position, you must be a college junior or higher by June 1, 2012.
Note: Applicants for Alumni Intern position must be college sophomores by June 1, 2012.
*If selected for employment, you will be required to submit to a pre-employment background check.

Use this application if you are applying for one of the following positions:

Academic	Operations
Program Director Program Coordinator Team Leader	Operations Director Operations Coordinator Alumni Intern (LeadAmerica Alumni Only)

If you are applying for a position as a member of the LeadAmerica Faculty, please submit your curriculum vitae or current resume and cover letter by email to staff@lead-america.org . If you’re applying for a full time position in our Admissions, Operations or Academics departments, please submit your current resume and cover letter by email to careers@lead-america.org

Please read Is LeadAmerica Right for You before completing the LeadAmerica application.

APPLICATION INFORMATION

*Required

New Applicant

Returning Staff

*I certify that I am a U.S. Citizen, permanent resident or a foreign national with authorization to work in the United States.
Eligibility requirements can be located here: www.uscis.gov/i-9

(If yes, verification will be required)

Yes

*Have you ever been charged or convicted of, or entered a plea of guilty, no contest, or had a withheld judgment to a misdemeanor or felony?

Yes

If yes, please describe the crime - state nature of the crime(s), when and where convicted and disposition of the case.
Note: No applicant will be denied employment solely on the grounds of conviction of a criminal offense. The date of the offense, the nature of the offense, including any significant details that affect the description of the event, and the surrounding circumstances and the relevance of the offense to the position(s) applied for may, however, be considered.

*First Name:	*Middle Name:	*Last Name:
(As it appears on your Driver’s License or Passport)	(As it appears on your Driver’s License or Passport)	(As it appears on your Driver’s License or Passport)

*Date of Birth:		*Gender:
(mm/dd/yyyy)


*Current Mailing Address:

*City:	*State:	*Postal Code:	*Country:

My permanent address is the same as my current address
If your permanent address is different from your current address, please complete the following:

Permanent Mailing Address:
Note: This should be an address at which you can receive mail as of February of the following year after your employment. It will be the address to which we will send your tax information and any formal correspondence. If this address changes, please contact our staffing coordinator (staff@lead-america.org) to update.


City:	State:	Postal Code:	Country:
	State abbreviation (e.g. CA, NY...)

*Place of Birth:	*City:	State:	*Country


*Email Address:
(email is the primary mode of contact) Alternative Email Address:	Reenter Email Address to Confirm: Reenter Alternative Email Address to Confirm:

*Primary Phone:	Secondary Phone:
(999-999-9999)	(999-999-9999)


International Applicants-Phone:

*Your Polo Size

AVAILABILITY *check all that apply

Summer (All)

- June 8 - June 30

- July 1 - July 31

- August 1 - August 15

Please list any exceptions or restrictions to availability:

POSITIONS
I am applying for the following position(s):

EDUCATION Complete all fields that apply

*Undergraduate	Graduate	Doctoral
Status:	Status:	Status:
Degrees(s): (e.g. Bachelor of Science, BS)	Degrees(s): (e.g. MBA, MS, MA)	Degrees(s): (e.g. Ph.D, M.D., D.D.S.)
Major:	Major:	Major:
College/University:	College/University:	College/University:
Graduation Date: (mm/yyyy)	Graduation Date: (mm/yyyy)	Graduation Date: (mm/yyyy)

Please review the above information before clicking “Continue.” Returning to this page after clicking "Continue" will result in a loss of information.